Finding 1214827 (2025-001)

Condition: The District did not have appropriate M-5's on file for several students. Criteria: Districts are required to maintain a signed and dated M-5 form (Consent to Bill Wisconsin Medicaid) for each student who has services billed through Medicaid. Cause: District staff did not maintain proper documentation to bill Medicaid for students. Effect: Failing to obtain a signed and dated M-5 form could affect the reimbursements received by the District under the SBS Medicaid program. Recommendation: We recommend the District review its procedures for obtaining and maintaining appropriate documentation for each student whose services are billed through Medicaid. Corrective Action Plan: The District will strengthen its procedures for obtaining, verifying, and maintaining required documentation. This will include implementing a standardized process to ensure M- 5 forms are completed, collected, and securely retained prior to submitting any claims for reimbursement. Additionally, the District will conduct periodic internal reviews to confirm that all required documentation is on file and up to date.